Basic Information
Provider Information
NPI: 1962745281
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NARAYAN
FirstName: SUCHITHRA
MiddleName: PRIYA
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 E JEFFERSON ST
Address2: SUITE 6W-PPQA KAISER PERMANENTE
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018167405
FaxNumber:  
Practice Location
Address1: 2101 E JEFFERSON ST
Address2: SUITE 6W-PPQA KAISER PERMANENTE
City: ROCKVILLE
State: MD
PostalCode: 208524908
CountryCode: US
TelephoneNumber: 3018167405
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2013
LastUpdateDate: 06/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XD81978MDY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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